Individual
MRS. STEPHANIE T BENGALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
75 TURNPIKE RD, IPSWICH, MA 01938-1046
(978) 356-0315
Mailing address
75 TURNPIKE RD UNIT 3C, IPSWICH, MA 01938-1046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10639
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10639
COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE
MA
01
—
295425
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
Enumeration date
02/07/2018
Last updated
03/17/2018
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